Prolonged Exposure

Training Description

This workshop is designed to teach participants Prolonged Exposure (PE), an evidenced based treatment for Veterans with PTSD. Prolonged Exposure is a gold standard treatment for Veterans with PTSD. The theory underlying PE suggests that avoidance prevents individuals from overcoming trauma while exposures help to reduce anxiety and overall PTSD symptoms. Material covered will include theoretical background and a review of session-by-session content. There will be both didactic and experiential components so that participants can practice the essential components of PE. Given this workshop is based on a manualized treatment, participants are encouraged to purchase copies of the manual prior to attending. This will ensure participants get the most out of their training experience.

Length of Training
6 hours
Continuing Education Units (CEUs)
6
Objectives of Training
Understand background/theory behind PE
Learn special considerations for providing PE
Be exposed to session by session content and associated practice assignments
Engage in experiential practice to reinforce learning
Please describe how it relates or focuses on veterans

PTSD is a common problem among Veterans and Prolonged Exposure is one of the gold standard treatments for Veterans with PTSD.

Training Platform
Sources Cited

Rothbaum, B.O., Foa, E.B., & Hembree, E. A. (2007). Reclaiming your life after a traumatic experiences: A prolonged exposure treatment program. Oxford University Press.

Back, S., Dansky, B. S., Coffey, S. F., Saladin, M. E., Sonne, S., & Brady, K. T. (2000). Cocaine dependence with and without post-traumatic stress disorder: a comparison of substance use, trauma history and psychiatric comorbidity. The American journal on addictions9(1), 51–62. https://doi.org/10.1080/10550490050172227

Back, S. E., Foa, E. B., Killeen, T. K., et al. Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) Therapist Guide. New York: Oxford University Press; 2015. 

Back, S. E., Killeen, T., Foa, E. B., Santa Ana, E. J., Gros, D. F., & Brady, K. T. (2012). Use of an integrated therapy with prolonged exposure to treat PTSD and comorbid alcohol dependence in an Iraq veteran. The American journal of psychiatry169(7), 688–691. https://doi.org/10.1176/appi.ajp.2011.11091433

Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489-498. https://doi.org/10.1002/jts.22059

Dansky, B. S., Brady, K. T., Saladin, M. E., Killeen, T., Becker, S., & Roitzsch, J. (1996). Victimization and PTSD in individuals with substance use disorders: gender and racial differences. The American journal of drug and alcohol abuse22(1), 75–93. https://doi.org/10.3109/00952999609001646

Donovan, B., Padin-Rivera, E., & Kowaliw, S. (2001). "Transcend": initial outcomes from a posttraumatic stress disorder/substance abuse treatment program. Journal of traumatic stress14(4), 757–772. https://doi.org/10.1023/A:1013094206154

Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20–35. https://doi.org/10.1037/0033-2909.99.1.20

Gray, M., Litz, B., Hsu, J., & Lombardo, T. (2004). Psychometric properties of the Life Events Checklist. (PDF) Assessment, 11, 330-341. doi: 10.1177/1073191104269954 PILOTS ID: 26825

Khantzian E. J. (1985). The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. The American journal of psychiatry, 142(11), 1259–1264. https://doi.org/10.1176/ajp.142.11.1259

Khantzian E. J. (1997). The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harvard review of psychiatry, 4(5), 231–244. https://doi.org/10.3109/10673229709030550

Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of general psychiatry52(12), 1048–1060. https://doi.org/10.1001/archpsyc.1995.03950240066012

Mills, K. L., Teesson, M., Back, S. E., Brady, K. T., Baker, A. L., Hopwood, S., Sannibale, C., Barrett, E. L., Merz, S., Rosenfeld, J., & Ewer, P. L. (2012). Integrated exposure-based therapy for co-occurring posttraumatic stress disorder and substance dependence: a randomized controlled trial. JAMA308(7), 690–699. https://doi.org/10.1001/jama.2012.9071

Najavits, L. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. Guilford Publications.

Persson, A., Back, S. E., Killeen, T. K., Brady, K. T., Schwandt, M. L., Heilig, M., & Magnusson, Å. (2017). Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE): A Pilot Study in Alcohol-dependent Women. Journal of addiction medicine11(2), 119–125. https://doi.org/10.1097/ADM.0000000000000286

Triffleman, E., Carroll, K., & Kellogg, S. (1999). Substance dependence posttraumatic stress disorder therapy. An integrated cognitive-behavioral approach. Journal of substance abuse treatment17(1-2), 3–14. https://doi.org/10.1016/s0740-5472(98)00067-1

Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.

Weathers, F.W., Blake, D.D., Schnurr, P.P., Kaloupek, D.G., Marx, B.P., & Keane, T.M. (2013). The Life Events Checklist for DSM-5 (LEC-5). Instrument available from the National Center for PTSD at www.ptsd.va.gov

Weathers, F.W., Blake, D.D., Schnurr, P.P., Kaloupek, D.G., Marx, B.P., & Keane, T.M. (2013). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). [Assessment] Available from www.ptsd.va.gov

Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M., Schnurr, P. P., Kaloupek, D. G., Keane, T. M., & Marx, B. P. (2018). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military Veterans. Psychological Assessment, 30(3), 383-395. https://doi.org/10.1037/pas0000486

Wells, S. Y., Morland, L. A., Wilhite, E. R., Grubbs, K. M., Rauch, S., Acierno, R., & McLean, C. P. (2020). Delivering Prolonged Exposure Therapy via Videoconferencing During the COVID-19 Pandemic: An Overview of the Research and Special Considerations for Providers. Journal of traumatic stress33(4), 380–390. https://doi.org/10.1002/jts.2257